老年患者甲状腺手术的临床和经济结果：一项系统综述
Clinical and economic outcomes of thyroid surgery in elderly patients: a systematic review.
作者信息
Sullivan Michael C, Roman Sanziana A, Sosa Julie A
机构信息
Department of Surgery, Yale School of Medicine, New Haven, CT 06520, USA.
出版信息
J Thyroid Res. 2012;2012:615846. doi: 10.1155/2012/615846. Epub 2012 Jun 21.
Abstract
The U.S. population is undergoing a dramatic shift in demographics, with a rise in the proportion of elderly Americans. Given an increased prevalence of thyroid disease and malignancy with age, understanding the safety of thyroid surgery in this age group is increasingly pertinent. There remains disagreement regarding the clinical outcomes of elderly patients after thyroidectomy and the applicability of single-institution cohorts to the population at large. This paper reviews the epidemiology of thyroid disease in the elderly, current surgical indications and practice patterns, and the clinical and economic outcomes of elderly patients with thyroid disease after surgical intervention.
摘要
美国人口正在经历显著的人口结构变化，老年美国人的比例不断上升。鉴于甲状腺疾病和恶性肿瘤的患病率随年龄增长而增加，了解该年龄组甲状腺手术的安全性变得越来越重要。对于老年患者甲状腺切除术后的临床结果以及单机构队列对广大人群的适用性，仍存在分歧。本文综述了老年人甲状腺疾病的流行病学、当前的手术适应症和实践模式，以及老年甲状腺疾病患者手术干预后的临床和经济结果。
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